Edward De Guzman Domantay

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8381 Issued in CA

Practice address

1114 Willow St
B
Alameda, CA 94501-4374

Phone

(510) 864-0763

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feld Care Therapy Inc 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Feld Care Therapy Inc

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1770069338

  CA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013125863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WILLOW ST",
            "address_2": "B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014374",
            "telephone_number": "510-864-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WILLOW ST",
            "address_2": "B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014374",
            "telephone_number": "510-864-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANTAY",
        "first_name": "EDWARD",
        "middle_name": "DE GUZMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danh Dinh DO
• Tuong VI Doan, MS, PPSC
• Patricia Jane Dobbins, DC
• Carla S Dodge, DDS
• Rose Marie Dollahan
• Amanda Dominguez
• Claudia L Dominguez
• Jesse Josiah Dona
• Jean Donald, LMFT
• Justin Charles Donato

• All providers in Alameda, CA
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.